• Title/Summary/Keyword: Non-response

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Prognostic Factors for Second-line Treatment of Advanced Non-small-cell Lung Cancer: Retrospective Analysis at a Single Institution

  • Inal, Ali;Kaplan, M. Ali;Kucukoner, Mehmet;Urakci, Zuhat;Karakus, Abdullah;Isikdogan, Abdurrahman
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.4
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    • pp.1281-1284
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    • 2012
  • Background: Platinum-hased chemotherapy for advanced non-small cell lung cancer (NSCLC) is still considered the first choice, presenting a modest survival advantage. However, the patients eventually experience disease progression and require second-line therapy. While there are reliable predictors to identify patients receiving first-line chemotherapy, very little knowledge is available about the prognostic factors in patients who receive second-line treatments. The present study was therefore performed. Methods: We retrospectively reviewed 107 patients receiving second-line treatments from August 2002 to March 2012 in the Dicle University, School of Medicine, Department of Medical Oncology. Fourteen potential prognostic variables were chosen for analysis in this study. Univariate and multivariate analyses were conducted to identify prognostic factors associated with survival. Result: The results of univariate analysis for overall survival (OS) were identified to have prognostic significance: performance status (PS), stage, response to first-line chemotherapy response to second-line chemotherapy and number of metastasis. PS, diabetes mellitus (DM), response to first-line chemotherapy and response to second-line chemotherapy were identified to have prognostic significance for progression-free survival (PFS). Multivariate analysis showed that PS, response to first-line chemotherapy and response to second-line chemotherapy were considered independent prognostic factors for OS. Furthermore, PS and response to second-line chemotherapy were considered independent prognostic factors for PFS. Conclusion: In conclusion, PS, response to first and second-line chemotherapy were identified as important prognostic factors for OS in advanced NSCLC patients who were undergoing second-line palliative treatment. Furthermore, PS and response to second-line chemotherapy were considered independent prognostic factors for PFS. It may be concluded that these findings may facilitate pretreatment prediction of survival and can be used for selecting patients for the correct choice of treatment.

Nonlinear dynamic analysis of laterally loaded pile

  • Mehndiratta, S.;Sawant, V.A.;Samadhiya, N.K.
    • Structural Engineering and Mechanics
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    • v.49 no.4
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    • pp.479-489
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    • 2014
  • In the present study a parametric analysis is conducted to study the effect of pile dimension and soil properties on the nonlinear dynamic response of pile subjected to lateral sinusoidal load at the pile head. The study is conducted on soil-pile model of different pile diameter, pile length and soil modulus, and results are compared to get the effect. The soil-pile system is modelled using Finite element method. The programming is done in MATLAB. Time history analysis of model is done for varying non-dimensional frequency of load and the results are compared to get the non-dimensional frequency at which pile head displacement is maximum in each case. Maximum possible bending moment and soil-pile interacting forces for the dynamic excitation of the pile is also compared. When results are compared with the linear response, it is observed that non-dimensional frequency is reduced in nonlinear response on account of reduction in the soil stiffness due to yielding. Nonlinear response curve shows high amplitude as compared to linear response curve.

Effect of the ERCC1 (C118T) Polymorphism on Treatment Response in Advanced Non-Small Cell Lung Cancer Patients Undergoing Platinum-Based Chemotherapy

  • Kaewbubpa, Walennee;Areepium, Nutthada;Sriuranpong, Virote
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4917-4920
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    • 2016
  • For advanced non-small-cell lung cancer (NSCLC) cases, a platinum-based regimen is the first-line chemotherapy treatment. The excision repair cross-complementing group 1 (ERCC1) plays an important role in DNA repair and has been related to resistance to platinum chemotherapy. This study aimed to investigate the effects of the ERCC1 (C118T) polymorphism on treatment response in 26 Thai advanced NSCLC patients receiving first line platinum-based chemotherapy during January to July 2015 at King Chulalongkorn Memorial Hospital (KCMH). DNA was extracted from peripheral blood lymphocytes and the single nucleotide polymorphism of ERCC1 was genotyped using a real-time PCR method with the TaqMan assay. The distribution of C/C, C/T and T/T genotypes was 57.7 %, 34.6 % and 7.7 %, respectively. The response rate to platinum-based chemotherapy in the wild type (C/C) of ERCC1 (C118T) was better than with the variant types (C/T and T/T) but the difference was not statistically significant (29.7% vs 9.1%, P=0.274). The results showed that a genetic polymorphism in ERCC1 might influence patient response to platinum-based chemotherapy. Further multicenter studies are now required to confirm the results of our study.

Response spectrum analysis considering non-classical damping in the base-isolated benchmark building

  • Chen, Huating;Tan, Ping;Ma, Haitao;Zhou, Fulin
    • Structural Engineering and Mechanics
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    • v.64 no.4
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    • pp.473-485
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    • 2017
  • An isolated building, composed of superstructure and isolation system which have very different damping properties, is typically non-classical damping system. This results in inapplicability of traditional response spectrum method for isolated buildings. A multidimensional response spectrum method based on complex mode superposition is herein introduced, which properly takes into account the non-classical damping feature in the structure and a new method is developed to estimate velocity spectra from the commonly used displacement or pseudo-acceleration spectra based on random vibration theory. The error of forced decoupling method, an approximated approach, is discussed in the viewpoint of energy transfer. From the base-isolated benchmark model, as a numerical example, application of the procedure is illustrated companying with comparison study of time-history method, forced decoupling method and the proposed method. The results show that the proposed method is valid, while forced decoupling approach can't reflect the characteristics of isolated buildings and may lead to insecurity of structures.

An equivalent linear SDOF system for prediction of nonlinear displacement demands of non-ductile reinforced concrete buildings with shear walls

  • Saman Yaghmaei-Sabegh;Shabnam Neekmanesh;Nelson Lam;Anita Amirsardari;Nasser Taghizadieh
    • Structural Engineering and Mechanics
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    • v.85 no.5
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    • pp.655-664
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    • 2023
  • Reinforced concrete (RC) shear wall structures are one of the most widely used structural systems to resist seismic loading all around the world. Although there have been several efforts to provide conceptually simple procedures to reasonably assess the seismic demands of structures over recent decades, it seems that lesser effort has been put on a number of structural forms such as RC shear wall structures. Therefore, this study aims to represent a simple linear response spectrum-based method which can acceptably predict the nonlinear displacements of a non-ductile RC shear wall structure subjected to an individual ground motion record. An effective period and an equivalent damping ratio are introduced as the dynamic characteristics of an equivalent linear SDOF system relevant to the main structure. By applying the fundamental mode participation factor of the original MDOF structure to the linear spectral response of the equivalent SDOF system, an acceptable estimation of the nonlinear displacement response is obtained. Subsequently, the accuracy of the proposed method is evaluated by comparison with another approximate method which is based on linear response spectrum. Results show that the proposed method has better estimations for maximum nonlinear responses and is more utilizable and applicable than the other one.

A STUDY OF ANALGESIC EFFECT ON PULP INDUCED BY PULSED Nd : YAG LASER (Pulsed Nd ; YGA 레이저의 치수마취효과에 관한 연구)

  • Kim, Do-Hyeong;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.1
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    • pp.301-312
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    • 1997
  • The purpose of this study was to evaluate the analgesic effect on pulp induced by pulsed Nd : YAG laser according to the power density, irradiated time and the method of application (Non-contact vs contact) in vivo. Experiments were carried out on 90 volunteers who have sound 4 canines. Each canine was grouped by the intensity and the time of irradiation of pulsed Nd : YAG laser was measured. Mean EPT response(units) was measured at 5 min, 30 min, and 60 min after irradiation with various intensity(1.5-3W, 15-30Hz), irradiated time (1.5min, 3min), and application method (Non-contact and contact). The results were as follows: 1. 5 minutes after irradiation, the mean EPT response(units) was increased by 32 % in the non-contact method and by 35% in the contact method of application. Which showed significant difference in mean EPT response(units) compared to not-lased canine in each groups(P<0.05). 2. The mean EPT response(units) with irradiating condition according to the various laser intensity, and the irradiation time stastically did not show significant difference in each groups as time elapsed. 3. There was no significant difference between the non-contact and contact method in the mean EPT response(units). 4. The mean EPT response(units) returned to the baseline value within 30 miuntes. In regard to the above results, the analgesic effect on pulp induced by pulsed Nd : YAG laser resulted a slight increase of pulpal pain threshold, but it was not as high as to replace the role of drug analgesia as whole. This technique can be used for inducing pulpal analgesia as adjunct to other pain control methods and is needed to develop better analgesic effects.

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Analysis of impact response and damage in laminated composite cylindrical shells undergoing large deformations

  • Kumar, Surendra
    • Structural Engineering and Mechanics
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    • v.35 no.3
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    • pp.349-364
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    • 2010
  • The impact behaviour and the impact-induced damage in laminated composite cylindrical shell subjected to transverse impact by a foreign object are studied using three-dimensional non-linear transient dynamic finite element formulation. A layered version of 20 noded hexahedral element incorporating geometrical non-linearity is developed based on total Langragian approach. Non-linear system of equations resulting from non-linear strain displacement relation and non-linear contact loading are solved using Newton-Raphson incremental-iterative method. Some example problems of graphite/epoxy cylindrical shell panels are considered with variation of impactor and laminate parameters and influence of geometrical non-linear effect on the impact response and the resulting damage is investigated.

Superharmonic and subharmonic vibration resonances of rotating stiffened FGM truncated conical shells

  • Hamid Aris;Habib Ahmadi
    • Structural Engineering and Mechanics
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    • v.85 no.4
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    • pp.545-562
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    • 2023
  • In this work, superharmonic and subharmonic resonance of rotating stiffened FGM truncated conical shells exposed to harmonic excitation in a thermal environment is investigated. Utilizing classical shell theory considering Coriolis acceleration and the centrifugal force, the governing equations are extracted. Non-linear model is formulated employing the von Kármán non-linear relations. In this study, to model the stiffener effects the smeared stiffened technique is utilized. The non-linear partial differential equations are discretized into non-linear ordinary differential equations by applying Galerkin's method. The method of multiple scales is utilized to examine the non-linear superharmonic and subharmonic resonances behavior of the conical shells. In this regard, the effects of the rotating speed of the shell on the frequency response plot are investigated. Also, the effects of different semi-vertex angles, force amplitude, volume-fraction index, and temperature variations on the frequency-response graph are examined for different rotating speeds of the stiffened FGM truncated conical shells.

A Synthesis Condition of Continuous Transfer Function for Monotonic Step Response : Hypothesis (단조 스텝응답을 주는 연속계 전달함수의 합성조건 : 가설)

  • Han, Sang-Yong;Cho, Tae-Shin;Woo, Young-Tae;Kim, Young-Chol
    • Proceedings of the KIEE Conference
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    • 2003.11b
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    • pp.127-130
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    • 2003
  • In this paper, a hypothesis in order that the impulse response of a stable linear system does not change sign is suggested. For fixed zeros of the systems, the problem of synthesizing such a system is reduced to the problem of finding a proper denominator polynomial so that the step response of the overall system will not overshoot. The hypothesis is associated with the generalized time constant by Kim[5]. Under the hypothesis, we propose several methods that allow to compose a continuous time LTI systems achieving non-negative impulse response.

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Response Characteristics of Acoustic Emission Sensor according to Partial Discharge Quantities (부분방전 전하량에 따른 음향방출 센서의 응답특성)

  • Jeong, Yeong-Ho
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.23 no.5
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    • pp.383-387
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    • 2010
  • The response characteristics of AE (acoustic emission) sensors with a coupled vibration mode and a non-coupled vibration mode were investigated according to PD(partial discharge) quantities in XLPE (cross linked polyethylene) sheets and craft papers immersed in insulating oil. The response voltages of a coupled vibration mode AE sensor were linearly proportional to the PD quantities up to 1,000 pC in XLPE sheets, while a non-coupled vibration mode AE sensor did not show the similar linearity. In case of a test of craft papers immersed in insulating oil, a linearity between response voltages and PD quantities was observed up to 550 pC, but after that, similar linearity between response voltage of any types of AE sensor and PD quantities was not shown.